KELLY HILLIARD (NPI# 1902858871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902858871 |
| Entity Type | Individual |
| Full Name | KELLY HILLIARD |
| Credential | PT |
| Practice Address |
1300 S. Richman Ave. Fullerton CA 92832 |
| Mailing Address |
14703 Ragan Dr La Mirada CA 90638-2204 |
| Practice Telephone | 7149924292 |
| Practice Fax Number | 7147734130 |
| Mailing Telephone | 5629060209 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PT25436 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427419746 | Kelly Hilliard | Pharmacist | 1001 N Dupont Hwy, Dover, DE 19901-2006 | 2016-03-14 |
| 1457760183 | Kelly Michelle Hilliard | Licensed Practical Nurse | 74 Kearney Ave, Auburn, NY 13021-5315 | 2014-08-06 |
| Street Address |
1300 S. RICHMAN AVE. |
| City | FULLERTON |
| State | CA |
| Zip Code | 92832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932735669 | Diana Hernandez | Behavior Technician | 413 W Commonwealth Ave, Suite C, Fullerton, CA 92832 | 2020-03-13 |
| 1942830013 | Karen Marie Winkle | Speech-Language Pathologist | 812 Lois Lane, Fullerton, CA 92832 | 2020-01-17 |
| 1578122487 | Andrea Arevalo | Behavior Technician | 713 Commonwealth Ave, Suite C, Fullerton, CA 92832 | 2019-06-13 |
| 1275090193 | Madison Elizabeth Miller | Behavior Technician | 714 W Commonwealth Ave, Suite C, Fullerton, CA 92832 | 2019-02-27 |
| 1528525862 | Samantha Rivas | Behavior Technician | 713 W Commonwealth Ave., Suite C, Fullerton, CA 92832 | 2019-02-22 |
| 1760948483 | Marcus Gerard Chavez | Behavioral Analyst | 713 West Commonwealth Suite A, Fullerton, U.S.A 92832 | 2019-02-19 |
| 1710443437 | Rolando Jimenez | Behavior Technician | 713 W. Commonwealth, Suite A, La Habra, CA 92832 | 2019-02-18 |
| 1659872919 | Anthony James Arneson | Marriage & Family Therapist | 120 N Lawrence, Fullerton, CA 92832 | 2018-02-22 |
| 1407302243 | Be Well Pharmacy Inc | Pharmacy | 105 N Lawrence Ave, Fullerton, CA 92832 | 2016-08-31 |
| 1871907972 | Edward Walls | Counselor | 771 W.orangethorpe Ave., Fullerton, CA 92832 | 2014-06-17 |
| Find all providers in zip 92832 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396053716 | Therapy for Kids, Inc. | Physical Therapist | 233 Orangefair Mall, Fullerton, CA 92832 | 2010-09-20 |
| 1578879862 | Eun-chong Kim | Physical Therapist | 2873 Muir Trail Dr, Fullerton, CA 92833-5517 | 2010-08-24 |
| 1932239589 | Susanne Treacher | Physical Therapist | 2150 Hilltop Ct, Fullerton, CA 92831-1311 | 2007-03-06 |
| 1467404145 | Darlene Snyder | Physical Therapist | 1300 South Richman Ave, Fullerton, CA 92832 | 2006-05-17 |
| 1740602598 | Elke Tapia | Physical Therapist | 233 Orangefair Mall, Fullerton, CA 92832-3038 | 2014-01-14 |
| 1134553381 | Kelly Nguyen Phan | Physical Therapist | 233 Orangefair Mall, Fullerton, CA 92832-3038 | 2013-08-23 |
| 1497191381 | Serina Quan | Physical Therapist | 233 Orangefair Mall, Fullerton, CA 92832-3038 | 2013-05-17 |
| 1003102112 | Christy Marilo | Physical Therapist | 233 Orangefair Mall, Fullerton, CA 92832-3038 | 2011-06-27 |
| 1013200849 | Brenda Ann Camarena | Physical Therapist | 233 Orangefair Mall, Fullerton, CA 92832-3038 | 2011-05-26 |
| 1578856860 | Nakisa Danyal Verdugo-garcia | Physical Therapist | 233 Orangefair Mall, Fullerton, CA 92832-3038 | 2011-05-19 |
| Find all providers in FULLERTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.